Kirby Tanner, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

12683 Issued in TX

Practice address

2253 N Loop 336 W Ste C
Conroe, TX 77304-3630

Phone

(936) 441-9990

Fax

(936) 441-9991

NPI assigned

Jun 24, 2014

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jason Hunt, D.C., P.a.

  • Chiropractor
  • Nederland, TX
  • NPI 1609916725
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1403568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416441600000",
    "number": "1568877009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2278 WILLOW RUN",
            "city": "NEDERLAND",
            "state": "TX",
            "postal_code": "776275639",
            "telephone_number": "409-748-9684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2253 N LOOP 336 W STE C",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773043630",
            "telephone_number": "936-441-9990",
            "fax_number": "936-441-9991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANNER",
        "first_name": "KIRBY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-24",
        "last_updated": "2014-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "12683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ndeloke Lauduine Tajong, NP
• Nelson Atembe Tajong, MD
• Jo Ann Gonzalez Taler, LPC
• Barnali Talukdar
• Christopher Tan
• Laura Lee Tarabocchia, NP
• Katherine Smith Taxis, M.D.
• Taylor Wellness and Safety Consultants PLLC
• Donna Marie Taylor
• Georgina Taylor

• Chiropractor in Conroe, TX
• Providers in Conroe, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.